Laraba I Adejo, in Windsor Mill, MD - Medicare Nurse Practitioner

Laraba I Adejo, is a medicare enrolled "Nurse Practitioner - Gerontology" in Windsor Mill, Maryland. Her current practice location is 8123 Church Ln, Windsor Mill, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 985-3885.

Laraba I Adejo is licensed to practice in Maryland (license number R193368) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225762990.

Contact Information

	Laraba I Adejo,
	8123 Church Ln, Windsor Mill, MD 21244-3210
	(443) 985-3885
	Not Available

Map and Direction

Provider's Profile

Full Name	Laraba I Adejo
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	8123 Church Ln, Windsor Mill, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225762990
Provider Enumeration Date: 07/10/2022
Last Update Date: 07/10/2022

Medicare PECOS Information:

PECOS PAC ID: 2365810983
Enrollment ID: I20221201001162

Medical Identifiers

Medical identifiers for Laraba I Adejo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225762990	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	R193368 (Maryland)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Laraba I Adejo allows following entities to bill medicare on her behalf.

Entity Name	Maryland Medical First Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013005016 PECOS PAC ID: 1850329715 Enrollment ID: O20050801001187

Entity Name	Personic Virtual Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740878420 PECOS PAC ID: 8729496849 Enrollment ID: O20221020001991

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laraba I Adejo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Laraba I Adejo, 8123 Church Ln, Windsor Mill, MD 21244-3210 Ph: (443) 985-3885	Laraba I Adejo, 8123 Church Ln, Windsor Mill, MD 21244-3210 Ph: (443) 985-3885

Reviews and Comments

Nurse Practitioner Nurses in Windsor Mill, MD

Dr. Modupe Togun, DNP, FNP-BC, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3110 N Rolling Rd, Windsor Mill, MD 21244 Phone: 410-298-1931 Fax: 410-298-1932
Mrs. Kristen L Broom, RN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 Security Blvd Ste 200, Windsor Mill, MD 21244 Phone: 410-837-2050
Janice Adams-king, CRNP -- FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7897 Galloping Cir, Windsor Mill, MD 21244 Phone: 443-473-3598 Fax: 410-298-0304
Juliet Kasozi, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8200 Kirk Farm Cir, Windsor Mill, MD 21244 Phone: 240-464-3276
Dr. Vanesha Vasian Goffe, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6901 Security Blvd Ste 200, Windsor Mill, MD 21244 Phone: 410-837-2050
Mr. Vincent Uchechukwu Alasoro, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3301 Kenjac Rd, Windsor Mill, MD 21244 Phone: 443-360-7900
Kyung H Yoo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6901 Security Blvd Ste 200, Windsor Mill, MD 21244 Phone: 410-837-2050

Laraba I Adejo, - Medicare Nurse Practitioner in Windsor Mill, MD